A Developmental Psychopathology Perspective of Obsessive-Compulsive Disorder

Abstract

Objective: This integrative review explores Obsessive-Compulsive Disorder (OCD) from the perspective of developmental psychopathology, in terms of its multifaceted etiology and course. Background: Individuals affected by OCD experience intrusive and undesired thoughts accompanied by behaviors used to mitigate the unwanted images. Accordingly, there are several sub-types and personality dispositions reflective of the overall continuum of OCD, spanning normality and psychopathology. The etiology is complex, with generalized psychological and biological vulnerabilities, as well as contributors from life stress. Moreover, OCD is a disorder with a highly comorbid and overlapping presence; therefore, difficulties may arise when differentiating between OCD and other problems. Conclusion: Treatment non-responsiveness is a pervasive trend in persons afflicted with OCD, but the most effective approach likely involves a stepped-care model incorporating cognitive-behavioral psychotherapy and psychotropic medications. Other considerations will also be discussed.

‘Excessive and Unreasonable’: The Relation Between Insight and Clinical Correlates and Treatment Outcomes in Obsessive-Compulsive Disorder Across the Life Course

“…Despite a dearth of existing literature examining the relation between clinical insight and OCD phenomenology from a developmental perspective, investigating these constructs from a developmental psychopathology lens is prudent [27], [28]. Low clinical insight is, relative to treatment-responsive OCD, a common feature of treatment-resistant OCD.…”